• Door naar de hoofd inhoud
  • Spring naar de voettekst

Moet Ik Naar De Dokter

Het hulpmiddel met antwoord op de vraag of u naar de dokter moet

  • nl
    • en
    • ar
    • de
    • pl
    • tr
    • ru
    • ua
  • Gezondheidsklachten
  • Patiënt
    • Digitale Corona zelftest
    • Vind mijn Huisartsenpost
  • Zorgverlener
    • Gratis digitale zelftriage op uw praktijkwebsite
    • Informatie voor Huisartsen
    • Digitale zelftriage in uw dagpraktijk
    • Promotiemateriaal
    • Werken met de widget
  • Over ons
    • Vacatures
    • Nieuws
    • Contact
    • Wetenschappelijke validatie
  • nl
    • en
    • ar
    • de
    • pl
    • tr
    • ru
    • ua

The impact of demand management strategies on parents’ decision-making for out-of-hours primary care: findings from a survey in the Netherlands

Auteurs: Giesen et al 

Objective

To explore the potential impact of demand management strategies on patient decision-making in medically non-urgent and urgent scenarios during out-of hours for children between the ages of 0 and 4 years.

Design and methods

We conducted a cross-sectional survey with paper-based case scenarios. A survey was sent to all 797 parents of children aged between 0 and 4 years from four Dutch general practitioner (GP) practices. Four demand management strategies (copayment, online advice, overview medical cost and GP appointment next morning) were incorporated in two medically non-urgent and two urgent case scenarios. Combining the case scenarios with the demand management strategies resulted in 16 cases (four scenarios each with four demand management strategies). Each parent randomly received a questionnaire with three different case scenarios with three different demand strategies and a baseline case scenario without a demand management strategy.

Results

The response rate was 47.4%. The strategy online advice led to more medically appropriate decision making for both non-urgent case scenarios (OR 0.26; 95% CI 0.11 to 0.58) and urgent case scenarios (OR 0.16; 95% CI 0.08 to 0.32). Overview of medical cost (OR 0.59; 95% CI 0.38 to 0.92) and a GP appointment planned the next morning (OR 0.57; 95% CI 0.34 to 0.97) had some influence on patient decisions for urgent cases, but not for non-urgent cases. Co-payment had no influence on patient decisions.

Conclusion

Online advice has the highest potential to reduce medically unnecessary use. Furthermore it enhanced safety of parents’ decisions on seeking help for their young children during out-of-hours primary care. Valid online information on health symptoms for patients should be promoted.

Referentie: Giesen MJ, Keizer E, Van de Pol J, Knoben J, Wensing M, Giesen P. The impact of demand management strategies on parents’ decision-making for out-of-hours primary care: findings from a survey in the Netherlands. BMJ Open 2017;7:e014605.

Footer

Top 5 klachten

  • Buikpijn
  • Keelpijn
  • Koorts
  • Insectenbeet

Voor de zorgverlener

  • Gratis digitale zelftriage op uw praktijkwebsite
  • Waarom deze oplossing?
  • Verdubbel het gebruik van Digitale Zelftriage
  • Digitale zelftriage in uw dagpraktijk
  • Hoe het werkt
  • Aanvraag Moet Ik Naar De Dokter? API-key

Over ons

  • Wie is Moet ik naar de dokter?
  • Het verhaal van Moet ik naar de dokter?
  • Wetenschappelijke validatie

Contact

Prins Willem-Alexanderlaan 705
7311 ST Apeldoorn

  • Cookieverklaring
  • Privacyverklaring
  • Gebruiksvoorwaarden
  • Responsible disclosure
  • Sitemap
  • Toegankelijkheid

© Copyright 2023 - Moet Ik Naar De Dokter

Moet ik naar de dokter? maakt gebruik van cookies
Om gebruik te kunnen maken van 'Moet ik naar de dokter?' worden cookies gebruikt. Hierdoor kunnen wij onze dienstverlening verbeteren en u in de toekomst beter tot dienst zijn. Als u de cookies afwijst kan dat het gebruik van onze website negatief beïnvloeden.
Functional Altijd actief
The technical storage or access is strictly necessary for the legitimate purpose of enabling the use of a specific service explicitly requested by the subscriber or user, or for the sole purpose of carrying out the transmission of a communication over an electronic communications network.
Preferences
The technical storage or access is necessary for the legitimate purpose of storing preferences that are not requested by the subscriber or user.
Statistics
The technical storage or access that is used exclusively for statistical purposes. The technical storage or access that is used exclusively for anonymous statistical purposes. Without a subpoena, voluntary compliance on the part of your Internet Service Provider, or additional records from a third party, information stored or retrieved for this purpose alone cannot usually be used to identify you.
Marketing
The technical storage or access is required to create user profiles to send advertising, or to track the user on a website or across several websites for similar marketing purposes.
Beheer opties Beheer diensten Beheer leveranciers Lees meer over deze doeleinden
Bekijk instellingen
{title} {title} {title}